St Lukes Regional Medical Center
ST Lukes Regional Medical Center in Sioux City, IA charges 3.6x the Medicare reimbursement rate across 39 analyzed procedures at this nonprofit-private hospital.
Sioux City, IA 51104 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
3.62x
Charge / Medicare rate
Max markup
7.35x
Worst procedure
Procedures analyzed
39
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $25,445 | $12,723 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $60,844 | $30,422 | — | 6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $30,063 | $15,031 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $55,303 | $27,652 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $23,926 | $11,963 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $10,206 | $5,103 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $19,318 | $9,659 | — | 4.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $31,545 | $15,772 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $54,892 | $27,446 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $31,424 | $15,712 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $22,278 | $11,139 | — | 4.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $31,801 | $15,901 | — | 3.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $18,368 | $9,184 | — | 3.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $39,631 | $19,816 | — | 3.7x |
| CELLULITIS WITHOUT MCC | 603 | $16,895 | $8,448 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $14,060 | $7,030 | — | 3.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $62,386 | $31,193 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $13,407 | $6,703 | — | 3.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $14,320 | $7,160 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,372 | $12,686 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $40,324 | $20,162 | — | 3.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $28,600 | $14,300 | — | 3.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $24,444 | $12,222 | — | 3.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $18,242 | $9,121 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $14,643 | $7,322 | — | 3.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $13,991 | $6,996 | — | 3.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $37,391 | $18,696 | — | 3.2x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $93,679 | $46,840 | — | 3.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $31,941 | $15,971 | — | 3.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,416 | $10,708 | — | 3.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $15,977 | $7,989 | — | 3x |
| RENAL FAILURE WITH CC | 683 | $14,859 | $7,430 | — | 2.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $88,306 | $44,153 | — | 2.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $31,802 | $15,901 | — | 2.7x |
| RENAL FAILURE WITH MCC | 682 | $23,640 | $11,820 | — | 2.7x |
| SYNCOPE AND COLLAPSE | 312 | $13,486 | $6,743 | — | 2.7x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $19,430 | $9,715 | — | 2.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $17,738 | $8,869 | — | 2.3x |
| PSYCHOSES | 885 | $7,521 | $3,761 | — | 1x |
How ST LUKES REGIONAL MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use